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General NPI Number Information
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NPI Number | 1184030777
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Entity Type | Individual
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Provider Name | HAITHM A.S. ABDELSALAM M.D
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Gender | Male
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Dates
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Enumeration Date | 07/03/2014
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 489 STATE ST
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City | BANGOR
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State | ME
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Zip | 04401-6616
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Country | US
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Telephone | 207-275-0987
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 650859 DEPT 710
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City | DALLAS
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State | TX
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Zip | 75265-0859
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Country | US
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Telephone | 409-772-2222
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | V9745
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | V9745
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License Number State | TX
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